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Republic of the Philippines Republic of the Philippines

DEPARTMENT OF HEALTH DEPARTMENT OF HEALTH


CENTER FOR HEALTH DEVELOPMENT- NORTHERN MINDANAO CENTER FOR HEALTH DEVELOPMENT- NORTHERN MINDANAO
J. V. Seriña Street, Carmen, Cagayan de Oro City J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (088)858 4000/ 727400 / 8587132 / 8582035/ 8550431/ 8550430 PABX (088) 8587123, (088)858 4000/ 727400 / 8587132 / 8582035/ 8550431/ 8550430
Email address: dohro10@gmail.com; pauchd10@gmail.com Email address: dohro10@gmail.com; pauchd10@gmail.com
Website: http://www.ro10.doh.gov.ph Website: http://www.ro10.doh.gov.ph

DAILY TIME RECORD DAILY TIME RECORD


CHERYL A. CANDELANZA CHERYL A. CANDELANZA
NAME NAME
For the month of JUNE 1-30, 2020 For the month of JULY 1 - 31, 2019
official hours for arrival ( Regular ) days and official hours for arrival ( Regular ) days and
departure ( Saturdays ) departure ( Saturdays )
AM PM UNDERTIME AM PM UNDERTIME
Day IN OUT IN OUT HR MIN. Day IN OUT IN OUT HR MIN.
1 7:45 AM 1
2 7:54 AM 2
3 7:51 AM 3
4 7:39 AM 4 7:59 AM 12:00 NN 12:40 NN 5:00 PM
5 7:49 AM 5 7:42 AM 12:00 NN 12:45 NN 5:00 PM
6 SATURDAY 6 SATURDAY
7 SUNDAY 7 SUNDAY
8 7:30 AM 8 7:40 AM 12:00 NN 1:00 PM 5:00 PM
9 7:19 AM 9 8:00 AM 12:00 NN 12:40 NN 5:00 PM
10 7:31 AM 10 7:52 AM 12:00 NN 1:00 PM 5:00 PM
11 7:46 AM 11 7:45 AM 12:00 NN 12:45 NN 5:00 PM
12 INDEPENDENCE DAY 12 7:39 AM 12:00 NN 12:45 NN 5:00 PM
13 SATURDAY 13 SATURDAY
14 SUNDAY 14 SUNDAY
15 7:39 AM 15 8:00 AM 12:00 NN 12:40 NN 5:00 PM
16 16 7:49 AM 12:00 NN 12:40 NN 5:00 PM
17 COMPENSATORY TIME OFF 17 7:45 AM 12:00 NN 1:00 PM 5:00 PM
18 COMPENSATORY TIME OFF 18 7:32 AM 12:00 NN 1:00 PM 5:00 PM
19 7:31 AM 19 7:36 AM 12:00 NN 1:00 PM 5:00 PM
20 SATURDAY 20 SATURDAY
21 SUNDAY 21 SUNDAY
22 7:43 AM 22 7:36 AM 12:00 NN 12:50 NN 5:00 PM
23 7:31 AM 23 7:20 AM 12:00 NN 12:55NN 5:00 PM
24 7:33 AM 24 7:47 AM 12:00 NN 12:55 NN 5:00 PM
25 7:46 AM 25 7:36 AM 12:00 NN 1:00 PM 5:00 PM
26 26 8:00 AM 12:00 NN 12:50 NN 5:00 PM
27 SATURDAY 27 SATURDAY
28 SUNDAY 28 SUNDAY
29 29 7:45 AM 12:00 NN 12:45 NN 5:00 PM
30 30 7:43 AM 12:00 NN 1:00 PM 5:00 PM
31 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 31 7:44 AM 12:00 NN 12:45 NN 5:00 PM
I CERTIFY on my honor that the above is a true I CERTIFY on my honor that the above is a true
and correct report of work performed, record of and correct report of work performed, record of
which was made daily at the time of arrival and which was made daily at the time of arrival and
departure from office. departure from office.

CHERYL A. CANDELANZA CHERYL A. CANDELANZA


NDP / RHMPP / DENTIST NDP / RHMPP / DENTIST

Cherlina C. Cañaveral, MD Cherlina C. Cañaveral, MD


CITY HEALTH OFFICER II CITY HEALTH OFFICER II

Jucel Q. Arnado, RN, MN Jucel Q. Arnado, RN, MN


Development Management Officer IV Development Management Officer IV

Jovette S. Guinal, MD, MCHM Jovette S. Guinal, MD, MCHM


Development Management Officer V Development Management Officer V
Republic of the Philippines
DEPARTMENT OF HEALTH
CENTER FOR HEALTH
J. V. Seriña DEVELOPMENT-
Street, NORTHERN
Carmen, Cagayan MINDANAO
de Oro City
PABX (088) 8587123, (088)858 4000/ 727400 / 8587132 / 8582035/ 8550431/ 8550430
Email address: dohro10@gmail.com; pauchd10@gmail.com
Website: http://www.ro10.doh.gov.ph

PDOHO UNIFIED DAILY TIME RECORD


For the Month of: DECEMBER 1-31, 2021

PRINTED NAME OF
DOH ACTIVITY ATTENDED
DATE TIME IN TIME OUT LGU/ PLACE VISITED AUTHORIZED SIGNATORIES
TRAVEL ORDER #
(MHO/ LOCAL ELECTED OFFICIALS)

1 8:00 AM 5:00 PM ROBINSON'S PLACE, ILIGAN NATIONAL VACCINATION DAY


2 7:49 AM 5:00 PM ROBINSON'S PLACE, ILIGAN EXTENDED NATIONAL VACCINATION DAY CLEO JEAN T. ANGARA, RN
3 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
4 SATURDAY
5 SUNDAY
6 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN HRH EXAMINATION; COVID-19 VACCINATION

7 7:43 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
8 OFF
9 7:52 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION; HRH MONTHLY REPORTS

10 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION; HRH MONTHLY REPORTS CLEO JEAN T. ANGARA, RN
11 7:55 AM 5:00 PM
12 SUNDAY
13 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
14 SICK LEAVE
15 7:57 AM 5:00 PM ROBINSON'S PLACE, ILIGAN HRH MONTHLY MEETING; ENCODING VAS CLEO JEAN T. ANGARA, RN
16
17
18 SATURDAY
19 SUNDAY
20 COMPENSATORY TIME OFF RPO No. 2021-1390
21 8:10 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
22 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
23 7:57 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
24 7:58 AM 12:00 PM ROBINSON'S PLACE, ILIGAN ENCODING VAS
25 SATURDAY
26 SUNDAY
27 8:00 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
28 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
29 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
30
31
I certify on my honor that the above is a true and correct report of the hours of work performed, record of which was made daily at the time
of arrival and departure from office.

CHERYL A. CANDELANZA, RN JUCEL Q. ARNADO, RN, MN


Name of HRH DMO IV
Name: CHERYL A. CANDELANZA Area of Assignment: DISTRICT 3 - UBALDO LAYA

DECEMBER 1-31, 2021

MONTHLY JOURNAL

ACTIVITIES:
> SUBMITTED HRH MONTHLY REPORTS
> SUPERVISED CONTACT TRACERS IN MONITORED CLOSED CONTACT TO COVID PATIENT
> ASSISTED COVID-19 VACCINATION AND MOBILE VACCINATION IN THE COMMUNITY
> HRH MONTHLY MEETING WITH DMO IV
> ENCODING VACCINE ADMINISTRATION SYSTEM

LEARNINGS/INSIGHTS:
> IN COVID-19 VACCINATION ACTIVITY, I LEARNED HOW TO BE MORE PATIENCE IN HANDLING
PRESSURE SITUATIONS AND TO BECOME MORE RESOURCEFUL ESPECIALLY IN LACKING OF
SUPPLIES ON THE VACCINATION SITE. ALSO, AS A NURSE, I SHOULD BE FLEXIBLE IN ANY
ASSIGNMENT GIVEN FROM OUR SUPERVISOR WHEN LACK OF MANPOWER.

> IN COVID-19 VACCINATION ACTIVITY, ACCOMPLISHMENT IS IMPORTANT BUT HERD IMMUNITY IS MORE IMPORT

ISSUES/CONCERNS:
> NONE

RECOMMENDATIONS:
> NONE

PREPARED BY: NOTED BY:

CHERYL A. CANDELANZA, RN CLEO JEAN T. ANGARA, RN


Name of HRH Supervisor
NDP/RHMPP
Evaluation of Experience/Performance
Based on the Job Function
(Public Health)
DECEMBER 1-31, 2021

Name: CHERYL A. CANDELANZA Area of Assignment: DISTRICT 3 - BRGY. UBALDO LAYA

NOT
FUNCTION DONE REMARKS
DONE
1.      Participates in the implementation of various
projectios/programs/systems and activities related to
Maternal, Neonatal and Child Health and Nutrition
(MNCHN) and Pantawid Pamilya Program such as:
a.       Maternal health services
1.      Pre-natal care √ 40
2.      Post-natal care √ 8
3.      Family planning √ 9
b.      Child Health Care services
1.EPI √ 51
2.Nutrition √
3.Dental Health Programs √
2.      Conducts regular monitoring of various health
programs of the municipality
a.       Maternal health services
1. Pre-natal care √ 40
2. Post-natal care √ 8
3. Family planning √ 9
b.      Child Health Care services
1.EPI √ 51
2.Nutrition √
3.Dental Health Programs √
3.      Verify or Validate the compliance of the
conditionalities of the Pantawid Pamilya recipients
I.                    monitor compliance of the
households on the ff:
a.       pre/post/ante natal care √
b.      facility based delivery √
c.       complete immunization of

children
d.      school performance of children √
e.       attendance to learning and
development activities for

parents/guardians
II.                 Ensure timely submission of
Compliance Verification System (CVS) form by

the Rural Health Midwives
4.      Conduct health education and training
a.       Mother’s class √
b.      Pabasa sa nutrisyon, etc. √
c.       Family Development Session √
5.      Assist in the conduct of disease surveillance √
6.      Implement TB Program
Case Detection √
TB-DOTS Compliance √
7.      Conduct Community Health Team Initiatives √
8.      Prepares and submits reports/project requirements:
a.       DTR √ 1
b.      Monthly journal report √ 1

PREPARED BY: NOTED BY:

CHERYL A. CANDELANZA, RN CLEO JEAN T. ANGARA, RN


Name of HRH Supervisor
HRH WEEKLY REPORT (to be attached to m40
Rural Health Unit ILIGAN CITY BHS (per barangay) UBALDO LAYA

ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
1 Total Number of Pregnant
9 10 11 10 40
Women
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 9 10 11 10 40
2 identify number of pregnant
Total No. of pregnant women
3 5 1 3 12 women with 4 or more ANC
with prenatal care visitation
visit
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 3 5 1 3 12
3
Total No. pregnant women
3 5 1 3 12
with 2 TT vaccination

NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 3 5 1 3 12
4 Total No. pregnant women
9 10 11 10 40
with birth plans
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 9 10 11 10 40
5
Total of Postpartum women
2 2 1 3 8
with at least 2 PP visit

NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
6
Total Number of Deliveries 2 2 1 3 8
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
7 Total No. of deliveries
2 2 1 3 8
attended by SKA
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
8
Total No. of FBD 2 2 1 3 8

NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
9
Fully Immunized Children 3 3 4 2 12

10 Total No. of WRA who are


current users of modern FP 0 0 0 821 821
method
NHTS & other non-NHTS poor
Pills 0 0 0 337 337
DMPA 0 0 0 124 124
Condom 0 0 0 42 42
Intrauterine Device 0 0 0 129 129
Bilateral Tubal Ligation (BTL) 0 0 0 78 78

No-Scalpel Vasectomy (NSV) 0 0 0 4 4

Sub-dermal Implant 0 0 0 107 107


NHTS only
ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
Pills 0 0 0 0 0
DMPA 0 0 0 0 0
Condom 0 0 0 0 0
Intrauterine Device 0 0 0 0 0
Bilateral Tubal Ligation (BTL) 0 0 0 0 0
No-Scalpel Vasectomy (NSV) 0 0 0 0 0
Sub-dermal Implant 0 0 0 0 0
11 Total No. of WRA who are new
acceptors of modern FP 0 0 0 3 3
method
NHTS & other non-NHTS poor 0 0 0 3 3
NHTS only 0 0 0 0 0
12 Total No. of WRA with unmet
0 0 0 0 0
needs
NHTS & other non-NHTS poor 0 0 0 0 0
NHTS only 0 0 0 0 0
13 Total No. of NHTS provided
with annual check-up (do not
0 0 0 0 0
include follow up check up and
returnees)
14 Total No. of non NHTS poor
provided with annual check-up
0 0 0 0 0
(do not include follow up check
up and returnees)
15 Total No. of new and relapse
0 0 0 0 0
TB Cases
16 Total No. of confirmed malaria
0 0 0 0 0
cases
17 Total No. of leprosy cases 0 0 0 0 0
18 Functional EMR system (yes/no) NO
19 Number of overweight children
0 0 0 0 0
under 5 years old
20 Total Number of under 5
0 0 0 0 0
children weigh
21 Number of stunted children
0 0 0 0 0
under 5 years old
22 Total number of children
whose heights were measured 0 0 0 0 0
during the OPT
23 No. of SAM seen and
0 0 0 0 0
assessed
24 No. of MAM seen and
0 0 0 0 0
assessed
25 with institutionalized DRRM?
YES
(yes/no)
26 Total No. of households with
access to improved or safe 0 0 0 0 0
water supply
Level III 0 0 0 0 0
Level II 0 0 0 0 0
Level I 0 0 0 0 0
27 Total No. of households with
access to improved or safe 0 0 0 0 0
water sources from e.coli
Level III 0 0 0 0 0
Level II 0 0 0 0 0
ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
Level I 0 0 0 0 0
28 Total No. of using managed
0 0 0 0 0
sanitation services
29 Total No. of Household 0 0 0 0 0
30 declared Zero Open
NO
Defecation (yes/no)
31
Total Number of Live births 2 2 1 3 8

NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
32 Number of Neonatal Death 0 0 0 0 0
33 Number of Still Births 0 0 0 0 0
34 Number of Infant Death 0 0 0 0 0
35 Number of Under 5 death 0 0 0 0 0
36 Number of Maternal Death 0 0 0 0 0
37 Total No. of Premature
Mortality Death (age 30-70, per 0 0 0 0 0
LCR) due to NCD:
CVD 0 0 0 0 0
DM II 0 0 0 0 0
Chronic Respi Diseases 0 0 0 0 0
Cancer, all sites 0 0 0 0 0
38 Number of deaths due to road
0 0 0 0 0
injuries (per LCR)
39 Total reportable cases
0 0 0 0 0
reported Category 1
40 Total reportable cases
0 0 0 0 0
reported Category 2
Other Activities:
COVID-19 VACCINATION
COVID-19 MOBILE VACCINATION

REPORTED BY: CHERYL A. CANDELANZA, RN


NAME OF HRH

VERIFIED BY: CLEO JEAN T. ANGARA, RN


PHN

NOTED: JUCEL Q. ARNADO, RN, MN


DEVELOPMENT MANAGEMENT OFFICER IV
Republic of the Philippines
DEPARTMENT OF HEALTH
CENTER FOR HEALTH DEVELOPMENT- NORTHERN MINDANAO
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (088)858 4000/ 727400 / 8587132 / 8582035/ 8550431/ 8550430
Email address: dohro10@gmail.com; pauchd10@gmail.com
Website: https://www.ro10.doh.gov.ph
CALENDAR OF ACTIVITIES
Month of: JANUARY 2022
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
1

2 3 4 5 6 7 8
COVID COVID VACCINATION COVID VACCINATION COVID COVID
VACCINATION @ @ ROBINSON'S / @ ROBINSON'S / HRH VACCINATION @ VACCINATION @
ROBINSON'S HRH REPORTS REPORTS ROBINSON'S ROBINSON'S

9 10 11 12 13 14 15
COVID COVID COVID
COVID VACCINATION COVID VACCINATION
VACCINATION @ VACCINATION @ VACCINATION @
@ ROBINSON'S @ ROBINSON'S
ROBINSON'S ROBINSON'S ROBINSON'S

16 17 18 19 20 21 22

COVID COVID COVID


COVID VACCINATION COVID VACCINATION
VACCINATION @ VACCINATION @ VACCINATION @
@ ROBINSON'S @ ROBINSON'S
ROBINSON'S ROBINSON'S ROBINSON'S

23 / 30 24 / 31 25 26 27 28 29
COVID
COVID COVID
COVID VACCINATION COVID VACCINATION VACCINATION @
VACCINATION @ VACCINATION @
@ ROBINSON'S @ ROBINSON'S ROBINSON'S / HRH
ROBINSON'S ROBINSON'S
REPORTS

Prepared by:

CHERYL A. CANDELANZA, RN JUCEL Q. ARNADO, RN, MN


NDP- ILIGAN DMO IV- PDOHO Lanao del Norte
NURSE (NDP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017

This is to certify that the following nurses under the Nurse Deployment Project rendered actual service specified in the table below:

AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT

1 AGABON, CORNEILLE NDP 134Hrs 1mins


2 AGNILA, HOWARD RON NDP 127Hrs 49mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
3 ALIVIO, NADYEZHDA NDP 120Hrs 0mins 2 DAYS ABSENT WITH ATTACHED LEAVE FORM
4 ANGARA, ALBRECHT NDP 136Hrs 0mins
5 ARNADO, DREXEL JAY NDP 103Hrs 42mins 4 DAYS ABSENT WITH ATTACHED LEAVE FORM
6 BADELLES, KARENINA NDP 112Hrs 0mins 3 DAYS ABSENT WITH ATTACHED LEAVE FORM
7 BAGABUYO, MARY JEALFA NDP 127Hrs 45mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
8 BERNALES, BEVERLY JEAN NDP 136Hrs 0mins
9 BUNA, ZENNIA NDP 135Hrs 28mins
10 CABAÑOG, NASH'RETH JOSE NDP 135Hrs 26mins
11 CANDELANZA, CHERYL NDP 128Hrs 0mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
12 CASILAC, KIMMY REA NDP 135Hrs 45mins
13 CEMPRON, DEAN GOLDWIN NDP 135Hrs 50mins
14 CRUZ, GIOVANNI NDP 136Hrs 0mins
15 ECARMA, JANE LORA NDP 136Hrs 0mins
16 ELLO,KRESHIA MAE NDP 79Hrs 45mins 7 DAYS ABSENT WITH ATTACHED LEAVE FORM
17 GABULE, KEN FRANCIS II NDP 127Hrs 14mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
18 GLOVA, ROD BRYAN NDP 135Hrs 52mins
19 LAGAYADA, CARL VINCENT NDP 135Hrs 35mins
20 MAESLIM, NESLY NDP 136Hrs 0mins
21 MORALES, EDDIE NDP 136Hrs 0mins
22 OSABEL, CHRISTINE AGNES NDP 136Hrs 0mins
23 PADILLA, EM-EM NDP 136Hrs 0mins
24 PADILLO, SIDNEY NDP 120Hrs 0mins 2 DAYS ABSENT WITH ATTACHED LEAVE FORM
25 PATAY, VENUS NDP 136Hrs 0mins
26 PONGAO, LOIDA ERIN NDP 127Hrs 10mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
27 QUIJANO, PAGE LOUISE NDP 123Hrs 45mins 1.5 DAYS ABSENT WITH ATTACHED LEAVE FORM
28 RACHO, BRAINGIE MAE NDP 136Hrs 0mins
29 REPONTE, JAN RITZ NDP 131Hrs 39mins 0.5 DAY ABSENT WITH ATTACHED LEAVE FORM
30 RICO, BRYAN JR. NDP 128Hrs 0mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
31 ROA, LEA BELEN NDP 136Hrs 0mins
32 SERINO, EDFRAN JED NDP 135Hrs 20mins
33 VILLANIA, PAZ YSABEL NDP 128Hrs 0mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
34 WONG, JEO FRITZ MICHAEL NDP 128Hrs 0mins 1 DAY ABSENT WITH ATTACHED LEAVE FORM
TOTAL 4392hours 6mins

* (format: # of days x 8 hours)

Submitted by:

JAN RITZ S. REPONTE


NDP
4/28/2017

Verified by:

CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
MIDWIFE (RHMPP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017

This is to certify that the following midwives under the RHMPP rendered actual service specified in the table below:

HOURS
NAME AREA OF ASSIGNMENT REMARKS
RENDERED*

1 ABEJO, JANET RHMPP 136Hrs 0mins


2 BELASIO, MITZIE RHMPP 132Hrs 0mins 0.5 DAY ABSENT WITH ATTACHED LEAVE FORM
3 JAYME, MARIA RIZA RHMPP 136Hrs 0mins
4 MILO, FRITCHIE RHMPP 136Hrs 0mins
5 ORELLANEDA, JOANN RHMPP 136Hrs 0mins
6 SARITADO, MEDELISA RHMPP 136Hrs 0mins
Total: 812hours 0mins

* (format: # of days x 8 hours)

Submitted by:

JAN RITZ S. REPONTE


NDP
4/28/2017

Verified by:

CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
NURSE (NDP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017

This is to certify that the following nurses under the Public Health Associates rendered actual service specified in the table below:

AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT

1 ABALLE, JOHANNAH PHA 136Hrs 0mins


2 GUMAHAD, DALE JORDAN PHA 135Hrs 54mins
TOTAL 271hours 53mins

* (format: # of days x 8 hours)

Submitted by:

JAN RITZ S. REPONTE


NDP
4/28/2017

Verified by:

CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
NURSE (NDP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017

This is to certify that the following nurses under the Universal Health Care Implementor rendered actual service specified in the table below:

AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT

1 SUGAPONG, GEMILLE UHCI 134Hrs 33mins


TOTAL 134hours 33mins

* (format: # of days x 8 hours)

Submitted by:

JAN RITZ S. REPONTE


NDP
4/28/2017

Verified by:

CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017

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